Gordon Richard Eck, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-004444-L Issued in PA

Practice address

11 S Pine St
Elverson, PA 19520-9720

Phone

(610) 286-9000

Fax

(610) 286-9410

NPI assigned

Jul 7, 2005

Last updated

Aug 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medical Center

  • Geriatric Medicine (Family Medicine) Physician
  • Elverson, PA
  • NPI 1457499360
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1437156387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103335",
            "telephone_number": "610-372-8044",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S PINE ST",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209720",
            "telephone_number": "610-286-9000",
            "fax_number": "610-286-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "GORDON",
        "middle_name": "RICHARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-004444-L",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS-004444-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000693942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Dattilo, PSYD
• Lauren Dicerchio
• Gordon R Donaldson, DO
• Doug's Family Pharmacy
• Dougs Family Pharmacy
• Krista Ellis, SPEECH THERAPIST
• Elverson - Honey Brook Area EMS
• Elverson Dental Care, LLC
• Family Dentistry- Dr. Yooson Kim, LLC
• Family Medical Center

• Family Medicine Physician in Elverson, PA
• Providers in Elverson, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.